Organization
RCJ DENTAL PC
Active
Other names
Bull Mt. Dental Images
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROD C JOHNSON DMD (OWNER)
(503) 968-6101
Entity
Organization
Contact information
Practice address
11815 SW KING JAMES PL STE 10, TIGARD, OR 97224-2479
(503) 968-6101
(503) 968-6717
Mailing address
11815 SW KING JAMES PL STE 10, TIGARD, OR 97224-2479
(503) 968-6101
(503) 968-6717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7075
OR
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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